Organization
NEW HAVEN FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORIS MARIE KUTZ-COMPTON DC (OWNER)
(573) 237-7800
Entity
Organization
Contact information
Practice address
105 FRANKLIN AVE, NEW HAVEN, MO 63068-1426
(573) 237-7800
(573) 234-6542
Mailing address
105 FRANKLIN AVE, NEW HAVEN, MO 63068-1426
(573) 237-7800
(573) 234-6542
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006626
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118500
BLUE CROSS BLUE SHIELD
—
01
—
384104
HEALTHLINK
—
01
—
4401300
UNITED HEALTH CARE
—
Enumeration date
11/09/2012
Last updated
09/03/2014
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